| Lifelong Therapeutics Ot Pllc | |
|
165 Beverly Rd, Huntington Station, NY 11746-4522 | |
| (631) 278-0665 | |
| (631) 549-1957 |
| Full Name | Lifelong Therapeutics Ot Pllc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Physical Rehabilitation |
| Location | 165 Beverly Rd, Huntington Station, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770850281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | 006369 (New York) | Primary |
| Provider Name | Jeffrey W Ciolino |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144247222 PECOS PAC ID: 8325001944 Enrollment ID: I20150106000202 |
| Provider Name | Karen Morrissey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841230505 PECOS PAC ID: 9436309986 Enrollment ID: I20150116000377 |
| Provider Name | Michael C Thakore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982245726 PECOS PAC ID: 3072901263 Enrollment ID: I20211020001313 |
| Provider Name | Maria Lydia Mccarthy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336204734 PECOS PAC ID: 4587558580 Enrollment ID: I20211022000644 |
| Provider Name | Chloe Gletow |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912637497 PECOS PAC ID: 3577943174 Enrollment ID: I20220629000145 |
| Provider Name | Hemadavie Ghooray |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346977097 PECOS PAC ID: 5496139164 Enrollment ID: I20220829003775 |
| Mailing Address | Practice Location Address |
|---|---|
| Lifelong Therapeutics Ot Pllc 143 Chardonnay Dr, East Quogue, NY 11942-3829 Ph: (631) 278-0665 | Lifelong Therapeutics Ot Pllc 165 Beverly Rd, Huntington Station, NY 11746-4522 Ph: (631) 278-0665 |
Kassimir Hand Therapy, Ot, Pllc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2375b New York Ave, Huntington Station, NY 11746 Phone: 631-421-9191 Fax: 631-421-1979 | |
Pamela Karp, OTR, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2375 New York Ave, #b, Huntington Station, NY 11746 Phone: 631-421-9191 | |
Rija Khan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 266 E 17th St, Huntington Station, NY 11746 Phone: 631-921-7466 | |
Jonathan Tianchon, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2375 New York Ave., Huntington Station, NY 11756 Phone: 631-421-9191 Fax: 631-421-1979 | |
Wendy Jesenia Reyes, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 24 7th Ave N, Huntington Station, NY 11746 Phone: 631-603-7013 | |
Ms. Eleanor A. Cawley, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Kellum St, Huntington Station, NY 11746 Phone: 631-463-9689 Fax: 631-547-1647 |